| NPI | 1972791085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMUDHA PERUMAL President 904-829-9919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: FL 76693) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |